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UNOFFICIAL

(1) The department shall pay an eligible individual's share of premium to the qualified health plan only upon receipt of an invoice submitted by the qualified health plan to the department; (2) The department shall not make any payments directly to eligible individuals; and (3) The department shall not pay and the eligible individual shall be responsible for, any cost-sharing including, but not limited to, deductibles, co-payments or co- insurance. (c) The department is not responsible for ensuring that the qualified health plan timely submits an invoice for an eligible individual's share of premium to the department. [Eff 02/27/15 ] (Auth: HRS §346-14) (Imp: HRS §346-14)

§17-1731-5 Termination of premium assistance. Premium assistance payable under this chapter on behalf of an eligible individual shall be terminated at any time for any of the following reasons: (1) The individual fails to meet the eligibility requirements set forth in section 17-1731-3; (2) The individual voluntarily terminates participation in the premium assistance program; (3) The individual no longer resides in the State; (4) Death of the individual; (5) The individual's whereabouts are unknown; (6) Insufficient State funds; or (7) The premium assistance program is terminated. [Eff 02/27/15 ] (Auth: HRS §346-14) (Imp: HRS §346-14)

§17-1731-6 Administration of the premium assistance program. (a) The department may contract with a third party or parties to administer any 1731-3